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1124698246
CHIYEKO DOMINGUEZ
SAN LUIS OBISPO, CA
NPI
1124698246
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-06-30
Last Update Date
2021-06-30
Business Address
CHIYEKO DOMINGUEZ
784 HIGH ST
SAN LUIS OBISPO, CA 93401-5243
Phone number: 805-503-0350
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Mailing Address
CHIYEKO DOMINGUEZ
PO BOX 15408
SAN LUIS OBISPO, CA 93406-5408
Phone number: 805-540-6500
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